Provider Demographics
NPI:1548587447
Name:APEX SOUTH FLORIDA LLC
Entity Type:Organization
Organization Name:APEX SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STEVE
Authorized Official - Last Name:HASTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-484-0300
Mailing Address - Street 1:2701 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1388
Mailing Address - Country:US
Mailing Address - Phone:954-484-0300
Mailing Address - Fax:
Practice Address - Street 1:2701 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 315
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1388
Practice Address - Country:US
Practice Address - Phone:954-484-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 55294261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty